Reentry Catheter and Method Thereof

Abstract

The invention generally relates to method and apparatus for crossing an obstruction in a tubular member, and more particularly to a medical device method for crossing of a chronic occlusion in a subintimal or interstitial space of an artery.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application claims the benefit of U.S. Provisional Patent Application No. 61 / 503,477, filed on Jun. 30, 2011, which is hereby incorporated by reference for all purposes as if fully set forth herein.FIELD OF THE INVENTION[0002]The invention generally relates to method and apparatus for crossing an obstruction in a tubular member, and more particularly to a medical device method for crossing of a chronic occlusion in a subintimal or interstitial space of an artery.BACKGROUND OF THE INVENTION[0003]Atherosclerosis is a common human ailment arising from deposition of fatty-like substance, such as atheroma, or plaque on the walls of major blood vessels. These deposits occur within the peripheral arterial system which feeds the limbs of the body and also occur within the coronary arterial system which feeds the heart. These deposits accumulate in localized areas, narrow the vascular lumen, and eventually causing restriction of normal blood ...

AI Technical Summary

Benefits of technology

The invention has the technical advantage of reducing the forces required to reenter the true vessel lumen, resulting in a smaller device size and improved stability and control of the distal tip during placement of the cannula or interventional wire. It also improves trackability and control, allowing a physician to accurately reenter the true vessel lumen at a preferred location close to the distal end of the total occlusion.

Problems solved by technology

These deposits accumulate in localized areas, narrow the vascular lumen, and eventually causing restriction of normal blood flow.

Such restriction can lead to a serious health risk including critical limb ischaemia.

If blood flow cannot be adequately restored through surgical or endovascular intervention and the probability of limb amputation increases dramatically.

Until recently, chronic total occlusions have been treated by bypass which poses high procedural risks and is quite traumatic to the patient.

In many instances, the physician encounters a calcified cap on the proximal end of the occlusion and is unable to maneuver the guide wire through the cap and across a calcified or fibrous lesion.

Once in the subintimal space, it is difficult to direct the guide wire back into the vessel lumen making it nearly impossible to perform a catheter based intravascular procedure.

This is a highly skilled technique with a low to moderate success level of consistent re-entry at the physician's preferred location just distal to the occlusion.

One problem with these methods is a tendency of the catheter to back out as a result of the moment imposed by force required to penetrate the subintimal layers to gain access to the vessel true lumen.

This is particularly problematic in the presence of calcified lesions causing an increase in the forces necessary for successful re-entry and, in many cases, requiring the physician to re-enter at a sub-optimal location.

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